Evaluation of Home Caregiving Program by Jordanian Stroke Patients' Caregivers: Qualitative Study

The purpose of this qualitative study was to explore caregivers' perception and evaluation of a home caregiving program entitled by "There is a Patient in Our Home". Seven Jordanian women were recruited purposefully from a governmental hospital in Amman. Data was collected through face-to-face interviews. Researcher used semi-structured questions to elicit credible responses. Content analysis was used to analyse data. Before discharge from hospital, women were "inadequately prepared" for their caregiver role. In home, women expressed "incompetency" in performing caregiving activities. The available sources of caregiving information and skills were culturally inappropriate for the women. Language, simplicity and attractiveness of the movies were areas of "satisfaction". Verbal commentary guidelines associated with each caregiving step was a strong point of the program. Women expressed "dissatisfaction" for lack of certain subjects. Before hospital discharge, providing families with culturally convenience caregiving educational program will increase caregivers' knowledge and competencies, subsequently stroke patients' general health will improve and frequency of rehospitalisation rate could be declined.   Keywords: Arab, Caregiver, Family, Home-Caregiving, Jordan, Strok

The Effect of Home Caregiving Program for Family Members Providing Care for Chronically Ill Relative Client

Health care systems in many countries are moving towards outpatient care in which family members are central in providing care for patients with life-threatening illness. Family members and friends haven’t knowledge and skills to become caregivers as many studies found that, the need to involve in such program to enhance their ability to be caregivers. This study contacted to know the effect of home caregiving program for family members providing care for chronically ill relative client, A quasi-experimental was conducted at hospital and health center for follow up or taking medications in Babylon city, including an intervention group and control group. A four-week follow-up assessment were performed in each group. The sample of study was taken accidentally from (60) families who had chronic disease or older clients in different socioeconomic and educational level, The participants showed little score regarding knowledge they had 15 out of 25 score about (46.7 percent) While in practice they had 19 out 40 score (41.7 percent). When they answered the M C Q questions about the knowledge necessary for home caring. In practice, chick list used for determined the ability of caring regarding educational program. An educational program for family caregivers is important to enhance the ability of caring outside hospital Keywords: Family, Caregiver and progra

Knowledge about Hypertension and Antihypertensive Medication Compliance in a Jordanian Community Sample

Hypertension is a common health problem requires patients' compliance to medication. Non-compliance is the failure of patients to follow health instructions. The purpose of this cross sectional study was to investigate what factors influence the elders' knowledge about hypertension and elders' compliance to antihypertensive medications.    Elders' knowledge about hypertension and their compliance levels were satisfactory. There was a significant relationship between knowledge and compliance. It was found that elders who reported high scores on hypertension disease knowledge were elders who earned more than 300 JD/month, who remembered name of their medications and who received adequate information about their disease. Knowledge about hypertension and medication were basic perquisites for elders' compliance to take antihypertensive medications. Nurses and other health care personnel have a key role in improving elders' compliance to their medication through appropriate evidence based interventions. Keywords: Compliance, Elders, Hypertension, Jorda

Nurses’ Knowledge and Attitudes Regarding Pain in Emergency Departments: A Comparative Study

Background Effective pain management needs a strong base of pain-related knowledge and an optimal attitude toward pain, which could have a critical impact during treatment course. Aims To investigate emergency nurses’ knowledge and attitudes regarding pain and to compare pain-related knowledge and pain-related attitudes among emergency nurses working in the government and private hospitals. Design and Method A descriptive cross-sectional design was used. A total number of 175 nurses (84 from private hospitals, 91 from governmental hospitals) recruited through a convenient sampling method. Knowledge and Attitudes Survey Regarding Pain was used to collect data. The data were collected in 2017. Results It was found that the mean scores of Knowledge and Attitudes Survey Regarding Pain was 16.64 (SD= 4.94). Results revealed that nurses working in private hospitals have higher scores on Knowledge and Attitudes Survey Regarding Pain (M=17.59, SD= 5.6) than nurses working in governmental hospitals (M=15.75, SD= 4.08) (p-value <0.05). There was a significant difference among nurses’ scores on Knowledge and Attitudes Survey Regarding Pain which is attributed to nurses’ age and their educational level (p-value <0.05). Finding and Conclusion Nurses working in emergency departments have a knowledge and attitudes deficits regarding pain management. In-service educational programs about pain management are recommended for all nurses in every health care setting. Keywords: Attitude, Knowledge, Knowledge and Attitudes Survey Regarding Pain, Nurses, Pain, Pain managemen

Factors Affect Patients Satisfaction in Emergency Departments in Palestine

Background: Emergency care can make an important contribution to reduce avoidable deaths and disabilities. Assessing health care quality and improving patient satisfaction have become a global health-related issue, particularly among health care suppliers and customers of health care due to increase of customers’ knowledge and awareness regarding health care services. Patient satisfaction is a patient’s perception of care received compared with the care expected. Patient satisfaction was considered as an essential indicators of emergency care. Methods: A descriptive and cross-sectional design was utilized in this study. All patients above 10 years who attended private and governmental hospitals in west bank for all potential health conditions were recruited (n=1150 patients). The Arabic version of the self-administered questionnaire of "Brief Emergency Department Patient Satisfaction Scale (BEPSS)" was used. Results: The majority of the subjects was men in (21-39) year old category, and were living in villages. More than half of the subjects were attendees of ED in private hospitals during night shifts. Duration of subjects’ waiting to see physicians and nurses was less than 15 min. Subjects were satisfied highly as ranked ordered in for different items in the BEPSS scale domains. There were significant differences between groups on BEPSS related to educational level and place of resident (F=6.14, p=≤0.00) and (F=3.50, p=0.03) respectively. Conclusion: This study shown that overall patients’ satisfaction score was 3.77 over 5 and this reflect an acceptable level of patients satisfaction Emergency hospital services and healthcare providers in Palestine. Keywords: Emergency Department (ED), Palestine, Patients Satisfaction.

Psychological problems among parents of children with congenital anomalies

Having a child with a congenital anomaly is a very stressful event that affects the whole family due to the critical and permanent needs it might impose. This study aimed to assess stress levels among Jordanian parents of children with congenital anomalies and their relationship to three factors: depression, anxiety, and somatization. A cross sectional survey was conducted at three hospitals in Jordan among 360 parents of children with congenital anomalies by using the Perceived Stress Scale and the Portuguese version of the Brief Symptom Inventory. The study found that both parents experienced high levels of stress, anxiety, and depression, although there was a significant difference in stress level between mothers and fathers, with the mothers experiencing higher stress than the fathers. The correlation between stress levels with anxiety (r = 0.763) and depression (r = 0.829) were strong and positive, while somatization was moderate (r = 0.425). In a conclusion, parents of children with congenital anomalies experience high levels of stress. Parental stress leads to many psychological problems such as somatization, depression, and anxiety